NPI | 1518208560 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE ASHLEY WEBER Owner/Licensed Clinical Psychologis 630-383-9957 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007960) |
Enumeration Date | 2013-03-14 |
Last Update Date | 2019-12-02 |